title: Massive hematuria due to ruptured iatrogenic aortic pseudoaneurysm: a case report.
abstract: We report an interesting case of massive haematuria secondary to a rupture of a pseudoa- neurysm of the abdominal aorta below the renal vessels. A 65-year-old woman present- ed at our institution with a painful massive haematuria and anaemia. Two months before, she undergone a pelvic surgery complicated by an accidental injury of the right ureter sutured with a end-to-end anastomosis. An abdominal computed tomography (CT) scan with intravenous contrast showed a right-sided hydronephrosis with clots in the lumen of the right pelvis with a massive retroperitoneal hematoma due to a rupture of a iatrogenic pseudoaneurysm of the abdominal aorta below the origin of the renal arteries.
authors.affiliation: Department of Urology, University of Bologna, S. Orsola-Malpighi Hospital, Bologna, Italy. vagno07@libero.it
authors.forename: Valerio
authors.initials: V
authors.lastname: Vagnoni
authors.forename: Caterina
authors.initials: C
authors.lastname: Gaudiano
authors.forename: Giovanni
authors.initials: G
authors.lastname: Passaretti
authors.forename: Riccardo
authors.initials: R
authors.lastname: Schiavina
authors.forename: Eugenio
authors.initials: E
authors.lastname: Brunocilla
authors.forename: Cristian Vincenzo
authors.initials: CV
authors.lastname: Pultrone
authors.forename: Marco
authors.initials: M
authors.lastname: Borghesi
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Martorana
mesh_terms: D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001012:Aorta, Abdominal / Q000293:injuries*; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D018284:Cystadenocarcinoma, Serous / Q000601:surgery; D005260:Female; D006417:Hematuria / Q000209:etiology*; D006801:Humans; D006869:Hydronephrosis / Q000209:etiology; D007044:Hysterectomy; D010535:Laparoscopy; D008197:Lymph Node Excision; D010051:Ovarian Neoplasms / Q000601:surgery; D010052:Ovariectomy; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D015607:Stents; D013529:Surgical Wound Dehiscence; D014057:Tomography, X-Ray Computed; D014513:Ureter / Q000293:injuries